Step #1 Request Pre-Approval 2025

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Time Limit for Completing Licensing Examination Sequence. Must pass all Steps of the USMLE within 7 years from the date of first passing any Step of the exam. Must pass Step 3 within 4 years of the first attempt at Step 3 or must complete 1 year of post-graduate training before making additional attempts at Step 3.
Can I retake USMLE exams after 7 years? After 7 years, you can retake the exams, but you have to restart from the beginning.
ECFMG requires that international medical graduates satisfy the examination requirements for ECFMG Certification within a seven-year period. This means that once you pass an exam, you will have seven years to meet the other examination requirements for ECFMG Certification.
To request an extension, you must complete a Request to Extend a USMLE Step 1/Step 2 CK Eligibility Period as described below in the Overview. Payment of the appropriate fee must accompany the request. You may request an extension of your eligibility period only once for each exam registration.
The USMLE offers various accommodations to candidates with documented disabilities, including those with psychological conditions, ADHD, and learning disabilities. Accommodations can include things like extended testing time, additional breaks, or a distraction-reduced environment.
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A Step-by-Step Guide to Acquiring USMLE Test Accommodations Complete Your Step Exam Application. Related Articles. Understand Eligibility Requirements. Prepare Your Personal Statement. Prepare Documentation. Request Specific Accommodations. Submit Your Request Early. Review and Response Timeline. Prepare for Possible Follow-Up.
Can I retake a Step that I previously passed? If you pass a Step, you are not allowed to retake it, except to comply with certain state board requirements which have been previously approved by USMLE governance.

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